Glenda Weisman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36289 Issued in AZ

Practice address

13232 N Tatum Blvd
Phoenix, AZ 85032-6459

Phone

(602) 541-9263

NPI assigned

Jul 6, 2006

Last updated

Oct 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Glenda Ydrovo Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bermudez Medical Group, LLC.

  • Adult Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700396637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1003847054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA",
            "address_2": "SUITE F 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583188",
            "telephone_number": "602-541-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326459",
            "telephone_number": "602-541-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "GLENDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067130",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "YDROVO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Earl Weisbrod, D.M.D
• Jonathan Berman Weisbuch, MD
• Elizabeth Weise, LCSW
• Quinn Weisensee
• Cindy Caplan Weiser, LCSW
• Martin H.S. Weisman, M.D.
• Mari Weiss-Solem
• Andrew Weiss, DO
• Bailey Alexis Weiss
• Barbara Weiss, OTR

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.